title: Clinics in diagnostic imaging (147). Male breast carcinoma.
abstract: A 51-year-old man with no significant medical history was referred to our institution for further management of a palpable, painless right breast lump that had been gradually increasing in size for a period of six months. Physical examination revealed a firm right breast lump and bloody right nipple discharge, but no skin involvement or axillary lymphadenopathy was observed. Subsequent mammography and breast ultrasonography demonstrated a discrete, heterogeneous and vascular right breast mass with spiculated and angulated margins. The breast mass was found to be an invasive ductal carcinoma on ultrasonography-guided core needle biopsy. This case illustrates that a combination of detailed clinical history, careful physical examination and radiological assessment using mammography and breast ultrasonography may be used to identify cases suspicious for male breast carcinoma that warrant biopsy.
authors.affiliation: Department of Diagnostic Radiology, Changi General Hospital, 2 Simei Street 3, Singapore 529889. tien_ jin_tan@cgh.com.sg
authors.forename: Tien Jin
authors.initials: TJ
authors.lastname: Tan
authors.forename: Lester Chee Hao
authors.initials: LC
authors.lastname: Leong
authors.forename: Llewellyn Shao-Jen
authors.initials: LS
authors.lastname: Sim
authors.forename: Llwellyn Shao-Jen
authors.initials: LS
authors.lastname: Sim
mesh_terms: D001707:Biopsy, Needle; D018567:Breast Neoplasms, Male / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006177:Gynecomastia / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008327:Mammography / Q000379:methods*; D008875:Middle Aged; D018608:Ultrasonography, Doppler; D016217:Ultrasonography, Mammary